“…Assuming that the SSI regional variation follows the distribution of collagen fibrils is based on evidence establishing collagen fibrils as the main load-carrying components of corneal tissue, and hence being responsible for corneal stiffness ( Daxer et al, 1998 ; Bell et al, 2018 ). Relying on the link between microstructure and stiffness distribution was possible for five reasons; first, there is a considerable number of microstructure maps available for both healthy and keratoconic corneas ( Boote et al, 2006 ; Meek and Boote, 2009 ; Niederer and McGhee, 2010 ; Studer et al, 2010 ; Pijanka et al, 2013 ; Ho et al, 2014 ; Pandolfi et al, 2019 ; Zhou et al, 2019 ; Zvietcovich et al, 2019 ; Li et al, 2020 ; Rodriguez-Garcia et al, 2020 ). Second, there is a strong consistency in microstructure distribution in healthy corneas with little variation between individuals.…”